The Medicare Part B NJ Appeals Process

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When You Have Been Overpaid By Medicare Part B (New Jersey)

When YOU discover that you have been overpaid, or paid inappropriately, return the Medicare check to us, or send us your personal check for the amount of the overpayment. To ensure that we correctly credit your account, please follow the instructions below.

*Important Information regarding the Voluntary Overpayment Refund Form: When completing the form, please indicate if you are subject to a Corporate Integrity Agreement or if you are participating in the OIG Self-Disclosure Protocol. This will allow us to fulfill OIG reporting requirements.

Please note that the acceptance of a voluntary refund does not affect or limit the rights of the federal government or its agents from pursuing appropriate criminal, civil, or other administrative remedies as the result of any investigation of claims relating to the voluntary refund.

Medicare checks:

Include a copy of the remittance with an explanation for the returned check.

Write VOID on the face of the check.

Fill out a Voluntary Overpayment Refund Form* so we can credit your account appropriately.

Personal checks:

Include a copy of the remittance, highlighting the inappropriate overpayment.

Fill out a Voluntary Overpayment Refund Form* so we can credit your account appropriately.

Send BOTH to:

Empire Medicare Services Part B (NJ)
P.O. Box 13081
Newark, NJ 07188-3081

When WE discover that you have been overpaid, or paid inappropriately, we will send you an “overpayment letter” requesting that the money be returned. Mail your check WITH a copy of the letter to:

Empire Medicare Services Part B (NJ)
P.O. Box 13081
Newark, NJ 07188-3081

Please note: If you disagree with the information in our “overpayment letter,” clearly state the reason why, and mail your explanation WITH a copy of the letter to:

Empire Medicare Services Part B (NJ)
P.O. Box 13081
Newark, NJ 07188-3081

Page Last Modified: 09/12/06

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